Renegotiating sexual intimacy in the context of altered embodiment: The experiences of women with breast cancer and their male partners following mastectomy and reconstruction.
Health PsychologyPublished 1 January 2015Open access
Jessica Loaring, Michael Larkin, Rachel Shaw, Paul Flowers
Citations96
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TL;DR
The insights from the dyadic, multiple perspective design suggest that psychologists must situate the meaning of supportive relationships and other protective factors in the context of complex life events and histories, in order to understand and support people's developing responses to distress.
Abstract
The insights from the dyadic, multiple perspective design suggest that psychologists must situate the meaning of supportive relationships and other protective factors in the context of complex life events and histories, in order to understand and support people's developing responses to distress.
Keywords
PsychologySocial Sciences
QMiP BulletinInterpretative Phenomenological Analysis: Theory, Method and Research
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SAGE Research Methods FoundationsInterpretative Phenomenological Analysis
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Introducing Qualitative Research in Psychology
3,035 Citations2001Carla Willig
Qualitative Research in PsychologyReflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology
2,149 Citations2008Jonathan A. Smith
Qualitative Research in PsychologyGiving voice and making sense in interpretative phenomenological analysis
1,886 Citations2006Michael Larkin, Simon Watts +1 more
Contemporary Sociology A Journal of ReviewsSexual Conduct: The Social Sources of Human Sexuality.
1,570 Citations1975Judith Long Laws, John H. Gagnon +1 more
Enlighten: Publications (The University of Glasgow)Exploring lived experience
1,066 Citations2005Katie Reid, Paul Flowers +1 more
Family ProcessThe Reflecting Team: Dialogue and Meta‐Dialogue in Clinical Work
960 Citations1987Tom Andersen
The way the interviewing of a family with a problem needs new ideas is described because the interview is the source from which the reflections flow and the reflecting team's manner of working is described and exemplified.
JNCI Journal of the National Cancer InstituteRole of Breast Reconstructive Surgery in Physical and Emotional Outcomes Among Breast Cancer Survivors
583 Citations2000Julia H. Rowland
The psychosocial impact of type of primary surgery for breast cancer occurs largely in areas of body image and feelings of attractiveness, with women receiving lumpectomy experiencing the most positive outcome.
Issues in clinical child psychologyCoping with Stress
471 Citations1997Nancy Eisenberg, Richard A. Fabes +1 more
MaturitasSexuality after breast cancer: A review
406 Citations2010Emilee Gilbert, Jane M. Ussher +1 more
Analysis of sexuality in the context of breast cancer cannot conceptualise the physical body separately from women's intrapsychic negotiation, her social and relational context, and the discursive constructions of sexuality and femininity: a material-discursive-intrapsychic interaction.
Psycho-OncologyCancer‐related relationship communication in couples coping with early stage breast cancer
307 Citations2005Sharon L. Manne, Jamie S. Ostroff +4 more
The negative association between mutual constructive communication and patient distress was stronger for patients with more physical impairment, and patients' perceptions of mutual constructive and demand/withdraw communication were associated with partners' marital satisfaction.
Aging & Mental HealthWe'll fight it as long as we can: Coping with the onset of Alzheimer's disease
286 Citations2002Linda Clare
Key areas in which early intervention may facilitate the development of adaptive coping strategies are identified and provide a useful foundation for further developing interventions that can assist in enhancing well-being and self-esteem in early-stage AD.
Journal of Clinical OncologyTreatment Decision Making in Early-Stage Breast Cancer: Should Surgeons Match Patients' Desired Level of Involvement?
268 Citations2002Nancy L. Keating
Patients whose reported actual role in decision making matched their desired role were more satisfied with their treatment choice than other patients, suggesting that women with early-stage breast cancer may benefit from surgeons' efforts to identify their preferences for participation in decisions and tailor the decision-making process to them.
Journal of Clinical OncologySexual Problems in Younger Women After Breast Cancer Surgery
239 Citations2006Stephanie R. Burwell, L. Douglas Case +2 more
Findings substantiate the need to address potential sexual problems related to chemotherapy treatment and menopause among younger breast cancer survivors and to counsel women about possible remedies, particularly for vaginal dryness.
PubMedSexuality and body image in younger women with breast cancer.
228 Citations1994LR Schover
Research shows that younger women with breast cancer have more severe emotional distress than older cohorts, and there is some evidence that breast conservation offers more psychological "protection" for younger women.
Psychosomatic MedicineConcern About Aspects of Body Image and Adjustment to Early Stage Breast Cancer
217 Citations1998Charles S. Carver, Christina Pozo-Kaderman +6 more
Investment in appearance made women more resilient against deterioration in their perceptions of attractiveness, and concern about body image related to distress across the postsurgical year.
Journal of Consulting and Clinical PsychologyPerceived Partner Reactions to Diagnosis and Treatment of Breast Cancer: Impact on Psychosocial and Psychosexual Adjustment.
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The pattern suggests that women's impressions of their partners' emotional involvement after surgery for breast cancer forecast their adjustment in sexual, marital, and emotional arenas over the following year.
Breast DiseasePsychosocial Issues Confronting Young Women with Breast Cancer
203 Citations2006Donald H. Baucom, Laura S. Porter +3 more
Initial findings provide encouraging evidence that couple-based psychosocial interventions for women and their partners might be of particular assistance to both partners.
Journal of Consulting and Clinical PsychologyBreast cancer surgery: Comparing surgical groups and determining individual differences in postoperative sexuality and body change stress.
193 Citations2000Debora Yurek, William Farrar +1 more
Using a model to predict sexual morbidity, regression analyses revealed that individual differences in sexual self-schema were related to both sexual and body change stress outcomes.
The Bodies of Women: Ethics, Embodiment and Sexual Difference
183 Citations1994Rosalyn Diprose
Journal of Consulting and Clinical PsychologyBreast cancer surgery: Comparing surgical groups and determining individual differences in postoperative sexuality and body change stress.
168 Citations2000Debora Yurek, William Farrar +1 more
Cancer NursingRelationship Issues of Women With Breast Cancer
157 Citations2001Sharon K. Holmberg, Linda L. Scott +2 more
Although the sample was small, in-depth data were obtained that provide a basis for specific areas in which further empirical investigation is needed, and they indicate that preventive intervention may well be warranted.
Western Journal of Nursing ResearchMen’s Perspectives on Individual and Family Coping with their Wives’ Breast Cancer and Chemotherapy
149 Citations2000B. Ann Hilton, John A. Crawford +1 more
Men’s perspectives on their experiences and how their wives’ breast cancer and chemotherapy impacted them and their families are described, to describe what facilitated and hindered their coping, and to suggest interventions to assist men and their Families to manage the experience with less stress are suggested.
The Breast JournalBreast Cancer and Sexuality
147 Citations2008Lorraine Sheppard, Sally Ely
Breast cancer affects a woman’s body image and feelings of sexuality and more support in relation to sexuality and body image could improve relationships by identifying and clarifying perceptions, and therefore the quality of life.
Journal of Family TherapyThe effectiveness of family therapy and systemic interventions for adult‐focused problems
145 Citations2008Alan Carr
The evidence supports the effectiveness of systemic interventions, either alone or as part of multimodal programmes, for relationship distress, psychosexual problems, domestic violence, anxiety disorders, mood disorders, alcohol abuse, schizophrenia and adjustment to chronic physical illness.
British Journal of Social PsychologySwings and roundabouts: Management of jealousy in heterosexual ‘swinging’ couples
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Psycho-OncologyRelationship vulnerabilities during breast cancer: patient and partner perspectives
138 Citations2009Karen Fergus, Ross E. Gray
The focus of the analysis was patient and partner perceptions of relationship strife or tension over the course of the illness based on the notion that such interactions may be as or more harmful to relationships than supportive exchanges are helpful.
Journal of Advanced NursingPsychological aspects of breast reconstruction: a review of the literature
137 Citations2001Diana Harcourt, Nichola Rumsey
British Journal of CancerPredictors of patients’ choices for breast-conserving therapy or mastectomy: a prospective study
120 Citations2004Sjaak Molenaar, Frans J. Oort +5 more
Annals of Surgical OncologyDeterminants of Patients? Choice of Reconstruction with Mastectomy for Primary Breast Cancer
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Journal of Sex & Marital TherapySexual Life After Breast Cancer
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It would seem that marital and sex therapists are better equipped than most to provide mental health services to breast cancer patients.
Journal of Clinical OncologyTreatment Decision Making in Early-Stage Breast Cancer: Should Surgeons Match Patients’ Desired Level of Involvement?
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Western Journal of Nursing ResearchFamily Communication Patterns in Coping with Early Breast Cancer
82 Citations1994B. Ann Hilton, Priscilla M. Koop
The communication patterns of 41 couples where the woman was newly diagnosed with Stage 1 or 2 breast cancer were investigated, and three major types of couple discussion patterns about fears, doubts, and emotional issues were seen.
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Oncology nursing forumQuality of Life After Postmastectomy Breast Reconstruction
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Recovery can be difficult, and reconstruction does not neutralize the biggest emotional challenge of breast cancer: fear of recurrence, but women felt well informed about breast surgery, and they wished they had been more informed about some issues.
Journal of Clinical OncologyConservation Surgery for Breast Cancer As the Preferred Choice: A Prospective Analysis
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Women treated with mastectomy in this study were not well-informed about breast reconstruction, and knowledge deficits suggest that breast cancer patients would benefit from interventions to support their decision making.
Annals of Plastic SurgeryWhat Are Patients' Goals and Concerns About Breast Reconstruction After Mastectomy?
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European Journal of Human GeneticsComparing family members’ motivations and attitudes towards genetic testing for hereditary breast and ovarian cancer: a qualitative analysis
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Oncology Research and TreatmentSexual Dysfunction in Breast Cancer Survivors
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Canadian Oncology Nursing JournalPerspectives of husbands of women with breast cancer: Impact and response
40 Citations2007Margaret I. Fitch, Marc‐Antoine Allard
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The diagnosis of breast cancer caused substantial distress for the couples and was transformative for the women and their husbands, and the couples were still experiencing some unresolved hardships that required open communication and mutual effort for coping.
European Journal of Oncology NursingAmbiguity and uncertainty: The ongoing concerns of male partners of women treated for breast cancer
33 Citations2008Alison Harrow, Mary Wells +2 more
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Oncology nursing forumSocial, Marital, and Sexual Adjustment of Israeli Men Whose Wives Were Diagnosed With Breast Cancer
26 Citations2008Ilana Kadmon, Freda DeKeyser Ganz +2 more
PubMed[Breast cancer surgery].
16 Citations1995Clough Kb
The development of breast implants, combined with continuous refinement of myocutaneous flaps, now allow a wide range of surgical techniques and predictable results, while the delay between mastectomy and breast reconstruction has been considerably reduced.
Journal of Family TherapyUnderstanding the impact of an Assertive Outreach Team on couples caring for adult children with psychosis
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